NAME _______________________________________
ADDRESS ____________________________________ APT. # ________________
CITY ___________________________ STATE ____________ ZIP ___________
PHONE ( ) __________________ EMAIL ____________________________
QUANTITY ITEM # DESCRIPTION PRICE EACH TOTAL
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Subtotal __________
S&H (see below) __________
Total Cost __________
Orders Under $50 - Shipping is $6.50
Orders $50 and Above - Shipping is FREE
(Excludes expedited shipping rates -- please contact us for a quote.)
PAYMENT METHOD:
___ Master Card Card # _ _ _ _ - _ _ _ _ - _ _ _ _-_ _ _ _ Exp: _ _ / _ _
___ VISA Signature: _____________________________
___ Money Order Name on Card: _________________________
___ Check (please allow 2 weeks to clear)
Please make checks and Money Orders payable to: LRZ Enterprises, Inc.
LEGAL STATUS OF PRODUCTS: It is the responsibility of the buyer, and not the
seller, to ascertain, and obey, all applicable local, state and federal laws in regard
to the possession and use of any item purchased. Consult your local and state
laws before ordering if you are in doubt. Absolutely no sales to minors. By placing
an order, the buyer represents that the products ordered will be used in only a lawful
manner and that he/she is of legal age.
Send Order Form To:
LRZ Enterprises, Inc.
213 Lantern Place
Little Egg Harbor, NJ 08087
